Active NPI
FCBC Community Development Corporation
- Community/Behavioral Health Agency
- Inglewood, CA
National Provider Identifier
1730454901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FCBC COMMUNITY DEVELOPMENT CORPORATION
- Practice address
- 333 W Florence Ave
Inglewood, CA 90301-1103 - Phone
- (310) 330-8000
- Fax
- (310) 419-0041
- NPI assigned
- Mar 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Little, JD
- Title
- Coo
- Phone
- (310) 330-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
333 W Florence Ave
Inglewood, CA 90301-1103
Mailing address
333 W Florence Ave
Inglewood, CA 90301-1103
Phone (310) 330-8000
National Provider Directory
National Provider DirectoryLocations
333 W Florence Ave
Inglewood, CA 90301
Phone (310) 330-8000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Inglewood, CA
- NPI 1700904364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332201600000",
"number": "1730454901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W FLORENCE AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011103",
"telephone_number": "310-330-8000",
"fax_number": "310-419-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W FLORENCE AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011103",
"telephone_number": "310-330-8000",
"fax_number": "310-419-0041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FCBC COMMUNITY DEVELOPMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "310-330-8000",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.